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[Correspondence] Graded exercise self-help for chronic fatigue syndrome in GETSET

Lucy Clark and colleagues1 (July 22, 2017, p 363) reported that guided graded exercise self-help (GES) for chronic fatigue syndrome was “more useful in those with worse physical functioning”, defined as a Short Form-36 physical function (SF-36 PF) score of 40 or less. As follow-up GES sessions were done by Skype and telephone, this result might suggest to some clinicians the possibility of modifying and extending this intervention to patients with severe and very severe chronic fatigue syndrome, all of whom are housebound and some of whom are bedbound.